HomeMy WebLinkAbout15839-Z Bldg 5 Unit CFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z1793t Date APRIL 6t 1989
THIS CERTIFIES that the building. MULTIPLE D%n~W.ING
Location of Property 2555 YOUNGS AVENUE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 063.2 Block 00t Lot 03
Subdivision FOUNDERS VILLAGE Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 1t 1987 pursuant to which
Building Permit No. 15839Z dated APRIL 2~ 1987
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is BUILDING %5 UNIT C IN MULTIPLE DWF3J,ING.
The certificate is issued to LIZDA REALTY LTD.
(owner,
of the aforesaid building.
SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL S-54 FEB. 1~ 1989
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 4/6/89
PLUMBERS CERTIFICATION DATED MICHAEL DUFF 153-P 1/30/89
VILLAGE OF GREENPORT WATER DEPT. APPROVAL 1/19/89
or
Rev. 1/81
FORM BO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 15839
Z
Permission is hereby granted to: ,
..... .....
.....
..~.....~..:...~..,.~--~'-'"" ...... 1.~..9..2l ..........
,o
~:a~...~..~:.....*....~..~z....~...~~...~...~..*...~.`..~..~~..~...~.~'.~...
ot premises located at .......~.~......~.~.~.~.....~....., ...... ...~...~ ...... .,~...:~ ........
....... ^ .~.. ~..'b £
............................... ~'~,~"~' ............ ~ ~'~'1"~' ....................... '~ i';' .............. 7~':~ ~ :~'~: 79'z~£~'
County Tax Map No 1000 Section ..... .~.,,Lq,..~ ..... Block ....... ,,C~../, ....... Lot No..,b,..~. ,~......9.,,'~:,..~.
.....~ ~ ....... ! ..................... , 19...~...~., and approved by the
pursuant
to
application
dated
Building Inspector.
Building In.q:mctor
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A, This application must be filled in typewriter OR ink, and submitted t ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and sifnilar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~'operty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
Date ....9/.9/.8.8 .................
$15.00
New Building .... .X ........ Old or Pre-existing Building ............ Vacant Land .............
Location of Property .. ~.~.~.[.d.~.ng, .5,. ,U.n~.t..C,. ;~.5. yQ~g~. ~,¥~Og~,. ~'~. 9~ .................
House No. Street Hamlet
Owner or Owners of Property ...~.z.c~...R.e.a.l.tyt..L?~). :. 7..Y.°.~9~.e~.s..V~.]..[.ac~.e .....................
County Tax Map No. 1000 Section .... Q63,.~. ..... Block . . . OD[ ......... Lot...~. '
Subdivision...~.o.u~..d.e.~.s..V~.l.l.ag9 ............... Filed Map No ........... Lot No ..............
Permit No..[,5.8.3.9.3 .... Date of Permit . .4/.2,/.87...Applicant ...~..zq~...R.e.a.[ .t¥~ . .L?I~., ..............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant. ~~ws~,~.~ ...........
R~v. 10-10-78
~. I$~ ~ ~ Project Director
f/¥rr
THE NEW YORK BOARD OF FIRE UNDERWRITERS
10006 ~;~ BUREAU OF ELECTRICITY
~ AP~R]~ ]8, ~9~~') 85 JOHN STREET, NEW YORK. NEW YORK 10038
THIS CE~IFIE~ THAT
o~y t~ e~t~ ~u~nt ~ ~d~ ~ ~ int~u~ by t~ ~t ~m~ on the a~ ~t~ numar ~ t~ pm~s o~
~ examin~ on M~RClt 89 and found to be in compliance with the reqai~ment~ of this ~rd.
PlX~ RXT~ b~ C~KI~ DKKS OVENS ~H WA~ EXHAUST FANS
DRYERS FURNACE MOTORS TIME CLOCKS eULTI-OURIT
SYSTIMS
NO. OF tilt
DIMMERS
~iEVICI ~ S E E C
OTH# APPARATUS:
100
14~ CEIqTRAh AVE
MC. j[ 1601.1
~,. ~ARt~IN{,IAi .... NY, 1t'135
This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEKAi~ IN ANY MANNER.
15A OTIS STREET
Michael Duff, Inc.
PLUMBING AND HEATING CONTRACTORS
LICENSED AND BONDED
·WEST BABYLON LI, NY 11704 ·
(516) 491-9393
Town of Southold
Building Dept.
Main Road
Southold, N.Y. 11971
The undersigned plumber certifies installation is in
accordance with the Town of Southold Plumbing Code and
the New York State Building Construction Code, and that
solder containing less than .2 of 1% was used for any
piping of potable water.
Location FQunders Village Bldg.
2555 Youngs Avent]e: ~outh~]d: New
Building Permit # 15839Z
Name & address of owner Lizda Realty L~,
4601 De,afield Avenue~ Bron×: New York
Plumber ' s Signature ~?&~ ...~.~ ~.~_~
Address 15A Otis St., W. B~bvlon. New York
License # 153-P
Sworn to before me this ~Qth day of _~19 89
Notary Public ~/~' ~//~
BLDG. DEPT.
,~ , , TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
TELEPHONE
(516) '/65-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
April 6, 1989
Victor Lessard
Building Department
southold, NY 11971
RE: Founders Village
SCTM #1000-63-1-28,29
Dear Mr. Lessard:
The following action was taken by the Southold Town
Planning Board on Monday, April 3, 1989.
RESOLVED that the Southold Town Planning Board make a
recommendation to the Building Department to issue a Certificate
of Occupancy for the above mentioned site plan. ~1~ ~
If you have any questions, please do not hesitate to
contact this office.
Very truly yours,
cc: Gary Kostrewski
jt